NPIMap

Organization Active NPI

Cook Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Cook, MN
National Provider Identifier
1720036262
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
331536 Issued in MN
Legal business name
COOK HOSPITAL
Practice address
10 5TH St SE
Cook, MN 55723-9702
Phone
(218) 666-5945
Fax
(218) 666-6228
NPI assigned
May 5, 2006
Last updated
Feb 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Teresa Lynn Debevec
Title
Administrator
Phone
(218) 666-5945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 331536 MN Primary

Addresses

Primary practice location

10 5TH St SE
Cook, MN 55723-9702

Mailing address

10 5TH St SE
Cook, MN 55723-9702
Phone (218) 666-5945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101201001262 MN Part A Provider - Critical Access Hospital 6204022304 Practice locations: Cook, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720036262. Details of each certification follow.

Hospital certification: CCN 24Z312

Legal name
COOK HOSPITAL
Organization structure
GovernmentNon-profit
Incorporated
Feb 1, 2001 in MN
Enrollment address
10 5TH St SE
Cook, MN 55723-9702
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Cook Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Enzmann Individual Corporate Director Oct 8, 2010
Kathy Weiand Individual Corporate Director Feb 1, 2012
Teresa Debevec Individual W-2 Managing EmployeeAd;Ceo Oct 1, 2007
Jodell Driggs Individual Corporate Director Jan 2, 2025
John Carl Stegmeir Individual Corporate Director May 1, 2015
Heather Ann Brandon Individual Corporate Director Sep 23, 2025
Wendy S Long Individual Corporate Director Oct 8, 2010
Cook Hospital Organization, Cook, MN Operational/Managerial Control Oct 8, 2010
Lisa Tosel Individual Corporate Director Jan 1, 2026
Donald Potter Individual Corporate Director Oct 8, 2010
Theresa Martinson Individual Corporate Director Feb 1, 2023
Judith Pearson Individual Corporate Director Oct 8, 2010
Karis Renee Antikainen Individual Corporate Director Jan 2, 2025
Margie Hyppa Individual Corporate Director Oct 8, 2010
Denise Parson Individual Corporate Director Jan 1, 2021
Elizabeth R Dahl Individual Corporate Director Jul 1, 2014
Eric Pederson Individual Corporate Director Oct 1, 2012

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cook HospitalCook, MN, CCN 241312 Hospital Operational/Managerial Control Aug 25, 2010
Cook Hospital & Care CenterCook, MN, CCN 245392 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Feb 20, 2026

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1720036262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 5TH ST SE",
            "city": "COOK",
            "state": "MN",
            "postal_code": "557239702",
            "telephone_number": "218-666-5945",
            "fax_number": "218-666-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 5TH ST SE",
            "city": "COOK",
            "state": "MN",
            "postal_code": "557239702",
            "telephone_number": "218-666-5945",
            "fax_number": "218-666-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "DEBEVEC",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-666-5945",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MN",
            "license": "331536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cook, MN

Sources for this page

Verify at the official NPI Registry.